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Alaska rates for HCPCS L6883

Replacement socket, below elbow/wrist disarticulation, molded to patient model, for use with or without external power

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,794.44 / $1,794.44 / $1,794.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,551.30 / $1,551.30 / $1,551.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,132.45 / $1,551.30 / $1,597.84
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$613.44 / $613.44 / $613.44
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,946.76 / $2,336.60 / $3,073.83
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$613.44 / $613.44 / $1,551.30
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,132.45 / $1,597.84 / $2,401.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$990.43 / $1,022.33 / $1,959.47